Trauma and Fractures
Assess injured patients, identify limb- and life-threatening complications, interpret imaging and plan immobilisation or referral.
How to prepare for PLAB 1
Practise recognising the immediate clinical task, ruling in or out dangerous alternatives, choosing the safest next step and closing the loop.
Core concepts
Concept 1
Trauma care begins with the whole patient before the isolated injury.
Exam cue: Stabilise life threats, then assess mechanism, deformity, wounds and distal function.
Concept 2
Neurovascular status and skin integrity must be documented before and after intervention.
Exam cue: Match imaging and management to the injury and patient context.
Risk pitfalls and guardrails
Missing compartment syndrome because pulses remain present.
Guardrail: Avoid an option that names a plausible diagnosis but ignores physiology, contraindications, competence, patient priorities or follow-up.
Failing to repeat neurovascular examination after splinting.
Guardrail: Avoid an option that names a plausible diagnosis but ignores physiology, contraindications, competence, patient priorities or follow-up.
Memory anchors
What comes before limb detail in major trauma?
ABCDE assessment and control of life-threatening bleeding.
What must be documented around a fracture?
Skin, neurovascular status, mechanism, imaging and findings before and after intervention.
What suggests compartment syndrome?
Disproportionate pain, pain on passive stretch, tense swelling and evolving neurological deficit.
Why do open fractures need urgent action?
Contamination, infection and tissue injury require prompt antibiotics, cover and orthopaedic management.
What makes discharge after injury safe?
Adequate analgesia, mobility plan, warning signs and arranged follow-up.
Checkpoint rule
Do the check-up only after you can summarize each concept in one sentence and identify one dangerous pitfall from memory.
Knowledge Check (after reading)
Short check-up to confirm understanding of this module.
Check-up Questions
After a road collision, a patient has an obvious open tibial fracture but is pale and confused. What comes first?
A trauma patient has severe dyspnoea, hypotension, unilateral absent breath sounds and distended neck veins. What is the best action?
Answer all questions to submit.
Next step personalized recommendations
Continue learning
Move forward only after this module is stable.
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